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Hello, I Am Trying To Reach Out To You Regarding

Posted on Mon, 8 Oct 2018

Question: Hello,

I am trying to reach out to you regarding my current health condition which is not getting better and I have been suffering for 1 year. My major problem is shortness of breath as I was told I have mild asthma. I do get asthma attack as well and also fatigue if I do any work or if I speak for little long I get shortness of breath.

Can you please advise as I have shown to many doctors an i have the results I can show to you if required.

I just want to get to back to normal self. Will I be able to get back to normal life? Please help

Thanks & Regards,

Anupriya

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Show me your PFT reports.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
First of all, no need to worry because asthma is very well controlled by medications.
Treatment of asthma is based on severity and to know the severity, PFT is must.
So please show me your PFT reports.
Another important aspect of asthma management is identification of allergen and if possible complete avoidance of it.
So get done detailed allergy testing if not done previously.
Also let me know
1. Since how long you are taking Asmanex and albuterol?
2. Are they in inhaler form or in capsule form?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Drkaushal85 (14 hours later)

Hello,

I have uploaded the PFT report. Kindly advise on what steps I should take to cure my asthma.

Thanks & Regards,
Anupriya

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Need to start formoterol and budesonide combination.

Detailed Answer:
Thanks for following up...
I can understand your concern.
I have gone through the reports you have attached.

In my opinion, you should start:
1. Formoterol and budesonide combination in the inhaler.
2. Montelukast (anti-allergic) and fexofenadine (antihistamine) combination once a day at night before going to sleep.

These would definitely help you in treating your asthma.

Hope I have solved your query.
I will be happy to help you further.

Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Drkaushal85 (2 days later)

Hello,

Thank you for your response. Are you saying I have asthma, because when I visited the doctor earlier they have told me that I have mild asthma symptoms and I should not use any inhaler as that might trigger asthma.

Also are these medicines available in US, will it require any prescription. What kind of side effects can there be.

Thanks & Regards,
Anupriya

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
Yes, these are available in US but only on prescription.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
No, this is not true. Inhaled treatment is best for asthma.
You can check this in XXXXXXX guidelines (International guidelines for asthma diagnosis and management).
Inhaled treatment is least systemic side effects with highest local effects (on lungs).
And yes these drugs are available in USA but only on prescription.
So consult pulmonologist.
Who told you that inhalers are bad for mild asthma?
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Drkaushal85 (1 hour later)

Doctor,

Are you saying I have asthma. I was told I have mild asthma and not should not worry about it. I did get asthma attacks in one night and couldn't sleep. If I talk for a long time and do some activity I get shortness of breath and feel exhausted. Can you please explain what are these symptoms.

Thanks & Regards,
Anupriya

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
You should get done repeat PFT study.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Your symptoms are very well seen with Asthma.
So you might be having worsening of asthma now.
So better to get done fresh PFT report.
Other possibilities are
1. Anemia
2. Hypothyroidism
3. Obesity
So please let me know
1. Have you ever undergone hemoglobin estimation and thyroid function test (TFT)?
2. Are you obese? What is your height and weight?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D